Ono Shoko, Nakajima Sae, Owada Sae, Tomita Natsumi, Tsuda Momoko, Yamada Michiko, Katsuki Shinichi, Sakamoto Naoya
Division of Endoscopy, Hokkaido University Hospital, Nishi-5, Kita-14, Kita-ku, Sapporo, Hokkaido, 060-8648, Japan.
Hokkaido Chapter of the Women Endoscopists Career Support Committee, Japan Gastroenterological Endoscopy Society, Tokyo, Japan.
Dig Dis Sci. 2025 Mar 19. doi: 10.1007/s10620-025-08953-9.
Endoscopy examinations require complex and repetitive maneuvers that can put a strain on the musculoskeletal system, and there have been recent reports on endoscopy-related injuries (ERI). A survey was carried out with a focus on sites of injuries and risk factors for Japanese endoscopists.
A 29-item web survey including non-identifiable demographic data, practice information, ERI, usability of endoscopes and ergonomics practice was carried out for Japanese endoscopists. ERI were defined as past or present endoscopy-related muscle and joint disorders including pain, discomfort, movement restriction, and numbness.
Data for 352 endoscopists were analyzed after excluding 49 endoscopists who had injuries not related to endoscopy. The incidences of ERI were 55.6% (150/270) in males and 61.0% (50/82) in females (not significant). The age of the endoscopists (≥ 36 years) and total number of endoscopy procedures per week (≥ 28) were found to be significant factors associated with ERI. Risk factors for hand injuries were total number of endoscopy procedures per week (≥ 28) and glove size (≥ size 7) for males and age (≥ 36 years) for females. The height (≥ 172 cm) was associated with neck injuries in male endoscopists. Also, number of ERCP procedures per week (≥ 1) in males and age (≥ 36 years) in females were risks for lower back injuries.
ERI occurred at a high rate among Japanese endoscopists by a self-reporting survey. It is necessary to clarify the relationships between the site of injury and risk factors and take preventive measures.
内镜检查需要复杂且重复的操作，这可能会给肌肉骨骼系统带来负担，近期有关于内镜检查相关损伤（ERI）的报道。针对日本内镜医师，开展了一项以损伤部位和危险因素为重点的调查。
针对日本内镜医师开展了一项包含29个项目的网络调查，内容包括不可识别的人口统计学数据、执业信息、ERI、内镜的可用性和人体工程学实践。ERI被定义为过去或现在与内镜检查相关的肌肉和关节疾病，包括疼痛、不适、活动受限和麻木。
在排除49名有与内镜检查无关损伤的内镜医师后，对352名内镜医师的数据进行了分析。男性ERI发生率为55.6%（150/270），女性为61.0%（50/82）（无显著差异）。发现内镜医师的年龄（≥36岁）和每周内镜检查总次数（≥28次）是与ERI相关的重要因素。男性手部损伤的危险因素是每周内镜检查总次数（≥28次）和手套尺寸（≥7号），女性是年龄（≥36岁）。身高（≥172厘米）与男性内镜医师的颈部损伤有关。此外，男性每周ERCP操作次数（≥1次）和女性年龄（≥36岁）是下背部损伤的危险因素。
通过自我报告调查发现，日本内镜医师中ERI的发生率很高。有必要明确损伤部位与危险因素之间的关系并采取预防措施。
